Provider Demographics
NPI:1427327188
Name:KIDZ FIRST THERAPY
Entity type:Organization
Organization Name:KIDZ FIRST THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:LINDEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:816-694-0598
Mailing Address - Street 1:1429 NE WHITESTONE DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-6004
Mailing Address - Country:US
Mailing Address - Phone:816-694-0598
Mailing Address - Fax:816-557-1379
Practice Address - Street 1:1429 NE WHITESTONE DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-6004
Practice Address - Country:US
Practice Address - Phone:816-694-0598
Practice Address - Fax:816-557-1379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-23
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO005167225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty